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General NPI Number Information
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NPI Number | 1346049418
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Entity Type | Individual
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Provider Name | BRENDA LISBETH MEDINA-FLORES M.S.,
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Gender | Female
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1515 HERITAGE DR
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City | MCKINNEY
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State | TX
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Zip | 75069-3256
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Country | US
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Telephone | 469-966-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 FM 3133
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City | ANNA
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State | TX
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Zip | 75409-6208
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Country | US
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Telephone | 469-502-1313
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 204057
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License Number State | TX
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